Exam 32: Health Assessment and Physical Examination

The nurse believes that several new female patients should receive additional health education about the need for more frequent Papanicolaou (Pap)smears and gynecological examinations.Which of the following assessment findings reveals the patient at highest risk for cervical cancer and thus having the greatest need for patient education?

In preparation for a rectal examination,a nonambulatory male patient is informed of the need to be placed in which position?

What is the best term for breath sounds created by air moving through large lung airways?

The patient is a 50-year-old African Canadian man who has come in for his routine annual physical examination.Which of the following preventive screenings does the nurse recommend?

A nurse is a preceptor for a nurse who just graduated from nursing school.When caring for a patient,the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment.Which of the following statements made by the new graduate nurse necessitates intervention by the preceptor?

A school nurse recognizes a belt buckle-shaped ecchymosis on a 7-year-old student.When privately asked about how the injury occurred,the student described falling on the playground.Upon suspecting abuse,the school nurse's best next action is which of the following?

During a school physical examination,the nurse reviews the patient's current medical history,which is positive for asthma,eczema,and allergic rhinitis.Which physical finding should the nurse expect on nasal examination?

A teenaged patient is tearful and reports locating lumps in her breasts.Other history obtained is that she is currently menstruating.Physical examination reveals soft and movable cysts in both breasts that are painful to palpation.The nurse also notes that the patient's nipples are erect,but the areolae are wrinkled.The next nursing step is which of the following?

A nurse identifies Pediculosis humanus capitis.Considering the possible complications of treatment,the nurse knows to not use which of the following treatment products?

The patient is a 54-year-old man with a medium frame.He weighs 67.1 kg (148 pounds)and is 173 cm (5 feet 8 inches)tall,with a body mass index (BMI)of 22 kg/m².The nurse realizes that this patient is which of the following?

A head and neck physical examination is completed on a 50-year-old woman.All physical findings are normal except that she has fine,brittle hair.On the basis of the physical findings,which of the following laboratory tests would the nurse expect to be ordered?

During a routine pediatric history documentation and physical examination,the parents report that their child was a premature infant and was so small that he had to stay in the neonatal intensive care unit longer than usual.They state that the infant was yellow when born and that he developed an infection that required "every antibiotic under the sun" to cure him.Considering the neonatal history,the nurse determines that it is especially important to perform which focused examination?

During a routine physical examination of a 70-year-old patient,a blowing sound is auscultated over the carotid artery.The nurse notifies the medical provider of the unexpected physical finding,which is known as which of the following?

A male student comes to the college health clinic.He hesitantly describes that his testis has a pea-sized hard lump.The nurse recognizes this as a potential sign of which of the following?

A patient in the emergency department is complaining of left lower abdominal pain.The comprehensive abdominal examination would include,in proper order,which of the following?

A nurse suspects an abnormal thyroid shape during the physical examination.Why does the nurse offer the patient a glass of water and watch her as she drinks?

The nurse is caring for a female victim of rape.To perform the proper evaluation,the nurse should place the patient in which of the following positions?

The nurse is urgently called to the gymnasium regarding an injured student.The student is crying in severe pain with a malformed fractured lower leg.What is the proper sequence for the nurse's initial assessment?

A parent calls the school nurse with questions regarding the recent school vision screening.Snellen chart examination revealed 20/60 for both eyes in the child.Considering the visual acuity results,what does the nurse inform the parent?

Objective physical data describe air moving through small airways,auscultated over the lung's periphery.The expected inspiratory-to-expiratory phase of this normal vesicular breath sound is which of the following?